Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Stephanie Agoncillo, PA-C

Individual provider Physician Assistant · NPI 1427425172

MS. Stephanie Agoncillo, PA-C is a Physician Assistant in Santa Cruz, California. Qualified in 2015, 11 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and North Carolina.

Years since qualifying
11
Licensed in
CA, NC
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2911 Chanticleer Ave
Santa Cruz, CA 95065-1815
Phone: (831) 477-2350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 460 Waterstone Dr, Hillsborough, NC 27278-9078 — (919) 595-5900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 53464 (CA)
Physician Assistant Taxonomy 363A00000X (NC)

Record details

NPI number1427425172
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 28, 2015
Last updated in NPPESNovember 19, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Santa Cruz